11D2175486 CLIA NUMBER - WALMART PHARMACY 10-5735

Laboratory Demographics

  • CLIA Code: 11D2175486
  • Facility Name: WALMART PHARMACY 10-5735
  • Facility Address: 5010 STEINER WAY
    GROVETOWN, GA
    ZIP 30813
  • Facility Phone: (706) 860-8808
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDDIE T. HUNT
  • NPI Number: 1922559350
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2175486
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5735
Street 5010 STEINER WAY
City GROVETOWN
State GA
ZIP 30813
Phone 7068608808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2025
Certificate Expiration Date 11/20/2027
Facility Type Pharmacy
Lab Director EDDIE T. HUNT

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This page was last updated on: 5/15/2026